Ulaş SERARSLAN, Alper GÜLTEKİN

Artroskopik Subakromiyal Dekompresyon: Kısa Dönem Klinik Sonuçlar

GİRİŞ ve AMAÇ: Subakromiyal sıkışma sendromu; omuz ağrısı ve hayat kalitesini kısıtlayan en önemli omuz rahatsızlıklarından olup, artroskopik cerrahinin gelişmesi ile birlikte tedavisinde artroskopik subakromiyal dekompresyon tercih edilir bir yöntem haline gelmiştir. Bu çalışmada Artroskopik subakromiyal dekompresyon uyguladığımız hastaların klinik sonuçları değerlendirildi YÖNTEM ve GEREÇLER: Çalışmaya, izole subakromiyal sıkışma sendromu tanısıyla artroskopik subakromiyal dekompresyon uygulanan 58 hastanın 59 omuzu (39 kadın 19 erkek; ortalama yaş 51,7; dağılım 25-74) dahil edildi. 31 sol 28 sağ omuz etkilenmişti. Hastalar ameliyat öncesi ve son kontrollerinde omuz Constant skoru, UCLA skoru, VAS (görsel analog skala) ile değerlendirildi. Ortalama takip süresi 28,6(12-44) ay idi. BULGULAR: Ameliyat öncesi sırasıyla ortalama Constant skoru 41(34-56), VAS(0-100) 70(60-90) iken ameliyat sonrası son kontrolde sırasıyla; 84(75-95) ve 14(0-30) olarak bulundu (p

Arthroscopic Subacromial Decompression: Short-Term Clinical Results

INTRODUCTION: Subacromial impingement is a common shoulder disorder causes shoulder pain and limited quality of life. Through the development of arthroscopic surgery, shoulder arthroscopy has been implemented as a valid method for the treatment of subacromial impingement. In this study; patients who underwent arthroscopic subacromial decompression for subacromial impingement were evaluated prospectively. METHODS: In this study we evaluated 59 shoulders (31 left, 28 right) of 58 patients (39 female, 19 male) preoperatively and postoperatively with Constant score, UCLA score and VAS score. Mean age was 51.7 years and the mean followup period was 28.6 months. RESULTS: Preoperatively the mean Constant score was 41 , VAS score was 70 . Postoperatively the mean Constant score was 84 and VAS score was 14 (030). For UCLA scoring 44 patients have excellent, 15 patients have good results DISCUSSION and CONCLUSION: Arthroscopic subacromial decompression is a successful surgical treatment option for subacromial impingement, in selected patients performed by an experienced surgeon.

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